Individual provider Active NPI

Helene P Edmo, FNP

  • Primary Care Nurse Practitioner
  • Lava Hot Springs, ID
National Provider Identifier
1699767004
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NP367A Issued in ID
Practice address
85 S 5TH W
Lava Hot Springs, ID 83246
Phone
(208) 776-5202
Fax
(208) 776-5614
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NP367A ID Primary

Addresses

Primary practice location

85 S 5TH W
Lava Hot Springs, ID 83246

Mailing address

PO Box 2377
Pocatello, ID 83206-2377
Phone (208) 232-7862

Other identifiers 6

IdentifierTypeStateIssuer
NPYJ3OtherIDBLUE CROSS - MCCAMMON
NPLX2OtherIDBLUE CROSS - ABERDEEN
NPLV6OtherIDBLUE CROSS - DOWNEY
NPLU9OtherIDBLUE CROSS - AM FALLS
NPLW4OtherIDBLUE CROSS OF ID - LAVA
NPLY0OtherIDBLUE CROSS - POCATELLO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080123000338 ID Practitioner - Nurse Practitioner 5698865475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMH IncGroup PAC ID 8426149758, 137 clinicians

Practice addresses (Care Compare)

1553 E Ctr St
Pocatello, ID 83201-4135
Phone (208) 233-9355

Hospital & facility affiliations

  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP367AIDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Health West, Inc. CurrentSince May 1, 2001 Accepting new patients
BMH Inc CurrentSince Aug 1, 2017 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
BMH Inc Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Current Accepting new patients
BMH, Inc. Current Accepting new patients
Health West, Inc. Family Medicine CurrentSince May 1, 2001 Accepting new patients
The Health & Wellness Sleep Institute of Pocatello,LLC Nurse Practitioner CurrentSince Jul 12, 2009 Accepting new patients
Center Street Health Care LLC Family PastSince Apr 30, 2008 Accepting new patients
BMH Inc. Past Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

98 Poplar St
Fl 3
Blackfoot, ID 83221

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

204 Center St
McCammon, ID 83250
Phone (208) 254-9326

1000 N 8th Ave
Pocatello, ID 83201
Phone (208) 232-6260

500 S 11th Ave
Ste 204
Pocatello, ID 83201
Phone (208) 232-1443

1553 E Center St
Pocatello, ID 83201
Phone (208) 233-9355

880 W Quinn Rd
Pocatello, ID 83202
Phone (208) 238-2000

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

1553 E Center St
Side A
Pocatello, ID 83201
Phone (208) 233-9355

655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122

Interoperability endpoints

  • Direct secure messaging: heleneedmo@bmh.medalliesdirect.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1699767004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2377",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832062377",
            "telephone_number": "208-232-7862",
            "fax_number": "208-232-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S 5TH W",
            "city": "LAVA HOT SPRINGS",
            "state": "ID",
            "postal_code": "83246",
            "telephone_number": "208-776-5202",
            "fax_number": "208-776-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMO",
        "first_name": "HELENE",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "NP367A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - MCCAMMON",
            "identifier": "NPYJ3",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - ABERDEEN",
            "identifier": "NPLX2",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - DOWNEY",
            "identifier": "NPLV6",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - AM FALLS",
            "identifier": "NPLU9",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID - LAVA",
            "identifier": "NPLW4",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - POCATELLO",
            "identifier": "NPLY0",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lava Hot Springs, ID

Sources for this page

Verify at the official NPI Registry.